Individual
DR. KYLE SUMIO HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
414A BELT LINE RD, COLLINSVILLE, IL 62234-4405
(618) 343-1100
Mailing address
414A BELT LINE RD, COLLINSVILLE, IL 62234-4405
(618) 343-1100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
06/18/2006
Last updated
03/19/2008
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